The DSM-IV-R criteria for adult diagnosis of ADHD contain three critical elements: childhood onset, presence of significant symptoms and impairment from these symptoms in at least two domains of school/work, social interaction or home life. Further evaluation of an initial presentation with a co-morbid condition may lead to an eventual diagnosis of
ADHD. Presenting symptoms and history may need to be corroborated with third parties. Psychiatric disorders most commonly associated with ADHD in adults are anxiety, substance abuse, bipolar disorder or major depressive disorder. Lower educational and occupational achievement has been reported.
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